Post-operative foam wound dressing, 12x4 inch

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FOAM DRG >16<=48 SQ IN W/BDR

Humana pricing summary

Low

Average

$69

Median

$39

High

$2.4k

Humana rate distribution

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188 hospital rates

#		Plans
1	GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges	2	$10	$15	$9	56%	6–60	$7 – $32
2	ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient	1	$47	$38	$18	47%	—	$13 – $54
3	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient	1	$33	$27	$13	47%	—	$9 – $38
4	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient	1	$27	$22	$10	47%	—	$7 – $31
5	ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient	1	$40	$32	$15	47%	—	$11 – $45
6	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient	1	$5.8k	$5.8k	—	—	—	$5.8k – $5.8k
7	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$44	$44	—	—	—	$44 – $44
8	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	2	$33	$33	$3	8%	—	$30 – $35
9	Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges	1	$44	$44	—	—	—	$44 – $44
10	Athens Hospital, LLC Athens, TX facility · percent of total billed charges · bothfrom % of charges	1	$63	$80	$67	84%	—	$8 – $169
11	BRFHH MONROE, LLC Monroe, LA other · outpatient	1	$5	$5	—	—	—	$5 – $5
12	Benefis Community Care, Inc Great Falls, MT other · both	1	$0	$0	—	—	—	$0 – $0
13	Black River Health Inc Black River Falls, WI facility · fee schedule · both	1	$11	$11	—	—	—	$11 – $11
14	Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges	1	$20	$20	—	—	—	$20 – $20
15	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$15	$15	—	—	—	$15 – $15
16	CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30
17	CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33
18	CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33
19	Carle BroMenn Medical Center Normal, IL fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
20	Carle BroMenn Medical Center Normal, IL fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
21	Carle Eureka Hospital Eureka, IL fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
22	Carle Eureka Hospital Eureka, IL fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
23	Catawba Valley Medical Center Hickory, NC percent of total billed charges · outpatientfrom % of charges	1	$45	$45	—	—	—	$45 – $45
24	Central Georgia Rehabilitation LLC Macon, GA fee schedule · both	2	$19	$19	—	—	—	$19 – $19
25	Children's Hospital San Antonio, TX fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39

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HCPCS A6213